Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia
Objective To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes. Study design CDH study group data were reviewed for LCDH infants born 2015–2019. Prenatal ultrasound (US) and magnetic resonance imagin...
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| Veröffentlicht in: | Journal of perinatology 2022-09, Vol.42 (9), p.1195-1201 |
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| container_title | Journal of perinatology |
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| creator | Perrone, Erin E. Karmakar, Monita Lally, Pamela A. Chung, Sukyung Kipfmueller, Florian Morini, Francesco Phillips, Ryan Van Meurs, Krisa P. Harting, Matthew T. Mychaliska, George B. Lally, Kevin P. |
| description | Objective
To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes.
Study design
CDH study group data were reviewed for LCDH infants born 2015–2019. Prenatal ultrasound (US) and magnetic resonance imaging (MRI) data were collected and correlated with postnatal information including CDHSG defect size (A through D or non-repair (NR)).
Results
In total, 929 LCDH patients were included. Both US and MRI imaging predictors correlated with postnatal survival (72.2%) and ECLS use (29.6%). Logistic regression models confirmed increased survival and decreased ECLS use with larger values for all predictors. Importantly, all prenatal values evaluated showed no significant difference between defect size D and NR patients.
Conclusions
This is the largest cohort of LCDH patients and demonstrates that prenatal imaging factors correlate with postnatal outcomes and confirms that patients in the non-repair group are prenatally similar to type D defects. |
| doi_str_mv | 10.1038/s41372-022-01357-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2634847133</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2708888031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-c1e30a750de464539849200f95622592b3cc9b15aef76e34138b5ba5e6624fff3</originalsourceid><addsrcrecordid>eNp9kcuKFTEQhoMoznH0BVxIwI2Lac21072UwcvAgBtdh-p05ZwMfTNJzxx9FV_WHHtUcGEgpML_1Z9QPyHPOXvNmWzeJMWlERUTZXOpTXV8QHZcmbrSWsmHZMeMklUjVX1GnqR0w9hJNI_JmdRCNHWjduTH1Qh7rDpI2NMl4gQZhlPRB5fnmKibY8QBMtK7kA90mVPemLTG23ALwwXFY45QuGWOWIQheCzqUq6ZrgkvKEw97dGjyzSF70jDRAf0uXhPe5zCya0PsBwi7EfIwdEDxinAU_LIw5Dw2f15Tr68f_f58mN1_enD1eXb68pJo3PlOEoGRrMeVa20bBvVCsZ8q2shdCs66VzbcQ3oTY2yDK3pdAca61oo7708J6823yXOX1dM2Y4hORwGmHBekxW1VI0yXMqCvvwHvZnXOJXfWWFYUxaTvFBio1ycU4ro7RLDCPGb5cyeorNbdLZEZ39FZ4-l6cW99dqN2P9p-Z1VAeQGpCKVwcW_b__H9ieaeKeb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2708888031</pqid></control><display><type>article</type><title>Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Perrone, Erin E. ; Karmakar, Monita ; Lally, Pamela A. ; Chung, Sukyung ; Kipfmueller, Florian ; Morini, Francesco ; Phillips, Ryan ; Van Meurs, Krisa P. ; Harting, Matthew T. ; Mychaliska, George B. ; Lally, Kevin P.</creator><creatorcontrib>Perrone, Erin E. ; Karmakar, Monita ; Lally, Pamela A. ; Chung, Sukyung ; Kipfmueller, Florian ; Morini, Francesco ; Phillips, Ryan ; Van Meurs, Krisa P. ; Harting, Matthew T. ; Mychaliska, George B. ; Lally, Kevin P. ; Congenital Diaphragmatic Hernia Study Group ; The Congenital Diaphragmatic Hernia Study Group</creatorcontrib><description>Objective
To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes.
Study design
CDH study group data were reviewed for LCDH infants born 2015–2019. Prenatal ultrasound (US) and magnetic resonance imaging (MRI) data were collected and correlated with postnatal information including CDHSG defect size (A through D or non-repair (NR)).
Results
In total, 929 LCDH patients were included. Both US and MRI imaging predictors correlated with postnatal survival (72.2%) and ECLS use (29.6%). Logistic regression models confirmed increased survival and decreased ECLS use with larger values for all predictors. Importantly, all prenatal values evaluated showed no significant difference between defect size D and NR patients.
Conclusions
This is the largest cohort of LCDH patients and demonstrates that prenatal imaging factors correlate with postnatal outcomes and confirms that patients in the non-repair group are prenatally similar to type D defects.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-022-01357-x</identifier><identifier>PMID: 35228684</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/499 ; 692/699/1785 ; Correlation ; D defects ; Data collection ; Defects ; Diaphragm ; Extracorporeal Membrane Oxygenation ; Female ; Hernia ; Hernias ; Hernias, Diaphragmatic, Congenital - diagnostic imaging ; Hernias, Diaphragmatic, Congenital - therapy ; Hospitals ; Humans ; Liver ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medical imaging ; Medicine ; Medicine & Public Health ; Pediatric Surgery ; Pediatrics ; Pregnancy ; Regression analysis ; Regression models ; Retrospective Studies ; Surgery ; Survival ; Ultrasonic imaging ; Ultrasonography, Prenatal</subject><ispartof>Journal of perinatology, 2022-09, Vol.42 (9), p.1195-1201</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-c1e30a750de464539849200f95622592b3cc9b15aef76e34138b5ba5e6624fff3</citedby><cites>FETCH-LOGICAL-c375t-c1e30a750de464539849200f95622592b3cc9b15aef76e34138b5ba5e6624fff3</cites><orcidid>0000-0001-9301-0790</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-022-01357-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-022-01357-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35228684$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perrone, Erin E.</creatorcontrib><creatorcontrib>Karmakar, Monita</creatorcontrib><creatorcontrib>Lally, Pamela A.</creatorcontrib><creatorcontrib>Chung, Sukyung</creatorcontrib><creatorcontrib>Kipfmueller, Florian</creatorcontrib><creatorcontrib>Morini, Francesco</creatorcontrib><creatorcontrib>Phillips, Ryan</creatorcontrib><creatorcontrib>Van Meurs, Krisa P.</creatorcontrib><creatorcontrib>Harting, Matthew T.</creatorcontrib><creatorcontrib>Mychaliska, George B.</creatorcontrib><creatorcontrib>Lally, Kevin P.</creatorcontrib><creatorcontrib>Congenital Diaphragmatic Hernia Study Group</creatorcontrib><creatorcontrib>The Congenital Diaphragmatic Hernia Study Group</creatorcontrib><title>Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes.
Study design
CDH study group data were reviewed for LCDH infants born 2015–2019. Prenatal ultrasound (US) and magnetic resonance imaging (MRI) data were collected and correlated with postnatal information including CDHSG defect size (A through D or non-repair (NR)).
Results
In total, 929 LCDH patients were included. Both US and MRI imaging predictors correlated with postnatal survival (72.2%) and ECLS use (29.6%). Logistic regression models confirmed increased survival and decreased ECLS use with larger values for all predictors. Importantly, all prenatal values evaluated showed no significant difference between defect size D and NR patients.
Conclusions
This is the largest cohort of LCDH patients and demonstrates that prenatal imaging factors correlate with postnatal outcomes and confirms that patients in the non-repair group are prenatally similar to type D defects.</description><subject>692/499</subject><subject>692/699/1785</subject><subject>Correlation</subject><subject>D defects</subject><subject>Data collection</subject><subject>Defects</subject><subject>Diaphragm</subject><subject>Extracorporeal Membrane Oxygenation</subject><subject>Female</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Hernias, Diaphragmatic, Congenital - diagnostic imaging</subject><subject>Hernias, Diaphragmatic, Congenital - therapy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Liver</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Survival</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Prenatal</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kcuKFTEQhoMoznH0BVxIwI2Lac21072UwcvAgBtdh-p05ZwMfTNJzxx9FV_WHHtUcGEgpML_1Z9QPyHPOXvNmWzeJMWlERUTZXOpTXV8QHZcmbrSWsmHZMeMklUjVX1GnqR0w9hJNI_JmdRCNHWjduTH1Qh7rDpI2NMl4gQZhlPRB5fnmKibY8QBMtK7kA90mVPemLTG23ALwwXFY45QuGWOWIQheCzqUq6ZrgkvKEw97dGjyzSF70jDRAf0uXhPe5zCya0PsBwi7EfIwdEDxinAU_LIw5Dw2f15Tr68f_f58mN1_enD1eXb68pJo3PlOEoGRrMeVa20bBvVCsZ8q2shdCs66VzbcQ3oTY2yDK3pdAca61oo7708J6823yXOX1dM2Y4hORwGmHBekxW1VI0yXMqCvvwHvZnXOJXfWWFYUxaTvFBio1ycU4ro7RLDCPGb5cyeorNbdLZEZ39FZ4-l6cW99dqN2P9p-Z1VAeQGpCKVwcW_b__H9ieaeKeb</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Perrone, Erin E.</creator><creator>Karmakar, Monita</creator><creator>Lally, Pamela A.</creator><creator>Chung, Sukyung</creator><creator>Kipfmueller, Florian</creator><creator>Morini, Francesco</creator><creator>Phillips, Ryan</creator><creator>Van Meurs, Krisa P.</creator><creator>Harting, Matthew T.</creator><creator>Mychaliska, George B.</creator><creator>Lally, Kevin P.</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9301-0790</orcidid></search><sort><creationdate>20220901</creationdate><title>Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia</title><author>Perrone, Erin E. ; Karmakar, Monita ; Lally, Pamela A. ; Chung, Sukyung ; Kipfmueller, Florian ; Morini, Francesco ; Phillips, Ryan ; Van Meurs, Krisa P. ; Harting, Matthew T. ; Mychaliska, George B. ; Lally, Kevin P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-c1e30a750de464539849200f95622592b3cc9b15aef76e34138b5ba5e6624fff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/499</topic><topic>692/699/1785</topic><topic>Correlation</topic><topic>D defects</topic><topic>Data collection</topic><topic>Defects</topic><topic>Diaphragm</topic><topic>Extracorporeal Membrane Oxygenation</topic><topic>Female</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Hernias, Diaphragmatic, Congenital - diagnostic imaging</topic><topic>Hernias, Diaphragmatic, Congenital - therapy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Liver</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Survival</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perrone, Erin E.</creatorcontrib><creatorcontrib>Karmakar, Monita</creatorcontrib><creatorcontrib>Lally, Pamela A.</creatorcontrib><creatorcontrib>Chung, Sukyung</creatorcontrib><creatorcontrib>Kipfmueller, Florian</creatorcontrib><creatorcontrib>Morini, Francesco</creatorcontrib><creatorcontrib>Phillips, Ryan</creatorcontrib><creatorcontrib>Van Meurs, Krisa P.</creatorcontrib><creatorcontrib>Harting, Matthew T.</creatorcontrib><creatorcontrib>Mychaliska, George B.</creatorcontrib><creatorcontrib>Lally, Kevin P.</creatorcontrib><creatorcontrib>Congenital Diaphragmatic Hernia Study Group</creatorcontrib><creatorcontrib>The Congenital Diaphragmatic Hernia Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perrone, Erin E.</au><au>Karmakar, Monita</au><au>Lally, Pamela A.</au><au>Chung, Sukyung</au><au>Kipfmueller, Florian</au><au>Morini, Francesco</au><au>Phillips, Ryan</au><au>Van Meurs, Krisa P.</au><au>Harting, Matthew T.</au><au>Mychaliska, George B.</au><au>Lally, Kevin P.</au><aucorp>Congenital Diaphragmatic Hernia Study Group</aucorp><aucorp>The Congenital Diaphragmatic Hernia Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>42</volume><issue>9</issue><spage>1195</spage><epage>1201</epage><pages>1195-1201</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes.
Study design
CDH study group data were reviewed for LCDH infants born 2015–2019. Prenatal ultrasound (US) and magnetic resonance imaging (MRI) data were collected and correlated with postnatal information including CDHSG defect size (A through D or non-repair (NR)).
Results
In total, 929 LCDH patients were included. Both US and MRI imaging predictors correlated with postnatal survival (72.2%) and ECLS use (29.6%). Logistic regression models confirmed increased survival and decreased ECLS use with larger values for all predictors. Importantly, all prenatal values evaluated showed no significant difference between defect size D and NR patients.
Conclusions
This is the largest cohort of LCDH patients and demonstrates that prenatal imaging factors correlate with postnatal outcomes and confirms that patients in the non-repair group are prenatally similar to type D defects.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>35228684</pmid><doi>10.1038/s41372-022-01357-x</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9301-0790</orcidid></addata></record> |
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| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2022-09, Vol.42 (9), p.1195-1201 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | 692/499 692/699/1785 Correlation D defects Data collection Defects Diaphragm Extracorporeal Membrane Oxygenation Female Hernia Hernias Hernias, Diaphragmatic, Congenital - diagnostic imaging Hernias, Diaphragmatic, Congenital - therapy Hospitals Humans Liver Magnetic resonance imaging Magnetic Resonance Imaging - methods Medical imaging Medicine Medicine & Public Health Pediatric Surgery Pediatrics Pregnancy Regression analysis Regression models Retrospective Studies Surgery Survival Ultrasonic imaging Ultrasonography, Prenatal |
| title | Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia |
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